Tosheska spasova, Natasha
Preferred name
Tosheska spasova, Natasha
Official Name
Tosheska spasova, Natasha
Main Affiliation
Email
natasa.toseskaspasova@gmail.com
13 results
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Item type:Publication, Comparative analysis of orthodontically indicated labial frenectomy with conventional surgery and diode laser(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2018); ;Milevski M ;Dzipunova B; Radojkova -Nikolovska V - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Non-nutritive sucking habit-thumb sucking(Macedonian Association of Anatomists, 2019); ;Dzipunova B; ;Spasov ZKarafiloska ROral habits is any repetitive behaviour that utilizes the oral cavity. Oral habits are learned patterns of muscular contractions.When habit cause defect in orofacial structure it is termed as pernicious oral habit. Oral habits in infancy and early childhood can be considered normal. The presence of an oral habit in the 3 to 6 year old is an important finding in the clinical examination. An oral habit is no longer considered “normal” for children near the end of this age group, because it may produce harmful effects on the development of maxillofacial complex. The lecture gives valuable information about causative factors, prevalence and development of sucking oral habits. Clinical features and effects on the dentofacial complex caused by thumb sucking are presented and commented in detail. The lecture focuses on the management and treatment modalities of thumb sucking. At the end more information about pacifier sucking are commented. The identification and assessment of an abnormal habits and its immediate and long term effect on the craniofacial complex and dentition should be made as early as possible to minimize the potential deleterious effect on dentofacial complex. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The External Quality Assessment Scheme: Four years experience as a participation laboratory(2015); ; ; ;Irena Kostovska - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Lipoprotein (a) and apolipoprotein (a) phenotypes in healthy Macedonian children(International Atherosclerosis Society, 2016-06); ; ;Irena Kostovska; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Risk management in the clinical laboratories-use of the Failure Modes and Effects Analysis (FMEA)(Macedonian Association of Anatomists, 2019); ; ;Irena Kostovska; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, EFFECTS OF RAMADAN FASTING ON SOME BIOCHEMICAL PARAMETERS(Faculty of Medicine, University Ss. Cyril and Methodius in Skopje, 2021); ; ;Kostovska, Irena; Petrushevska-Stanojevska, ElenaIntroduction: Holy month Ramadan lasts for about 29-30 days. It is mandatory for all adult individuals of the Islamic faith to fast during the holy month of Ramadan. During this period, healthy Muslims do not eat or drink (i.e., total abstinence from food and fluids) and refrain from tobacco, daily from pre-dawn until dusk. Materials and Methods: The present study included healthy adult male and female Muslim volunteers from different towns in the Republic of North Macedonia. The number of subjects in the study was 195. Blood samples from all subjects were collected twice during the study - once 2-3 days prior to the beginning of Ramadan and then again, the last day of Ramadan fasting. The following biochemical parameters were taken into consideration: total cholesterol, triglycerides, HDL cholesterol, glucose, insulin, total proteins, albumin, total and direct bilirubin, urea, creatinine and uric acid. Results: It was observed that compared to pre-fasting levels, total cholesterol (TC) and triglycerides (TG) were significantly decreased (P=0.000) and high-density lipoprotein cholesterol (HDL-C) level had significantly increased (P=0.000); total proteins were significantly increased (P=0.000); albumins were significantly increased (P=0.004); urea was significantly increased (P=0.004); total and direct bilirubin were significantly increased (P=0.000), glucose was significantly increased (P=0.000); there was no change in insulin levels (P<0.1) Conclusion: This study showed that Ramadan fasting has an effect on biochemical parameters. We can conclude that reduction in total cholesterol and triglycerides along with a rise in levels of HDL-C have beneficial effects on lipid profile post-Ramadan fasting period. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Prevention of musculoskeletal disorders as occupational health problem among dental professionals(Македонско лекарско друштво = Macedonian medical association, 2024-11-02) ;Stavreva, Natasha ;Bajraktarova Valjakova, Emilija ;Elenchevski, Sasho; Objective: Musculoskeletal disorders (MSDs) have been identified as a significant occupational health problem among dental professionals. MSDs can be defined as any injury to the human support system, including the bones, cartilage, muscles, ligaments, tendons, blood vessels, nerves due to exposure to hazards at the workplace. For dental professionals they occur commonly in the neck, shoulder, lower back and wrists. They are significant work-related occupational health problem. Sufferers of MSDs may experience numbness, tingling, pain, decreased strength or swelling of the affected area. Ergonomics helps in designing jobs, equipment and workplaces to fit dental workers in prevention of MSD. The aims of the study are to define the significant risk factors to dental professionals’ health which lead to injuries and prevention of MSDs as occupational health problem. Material and methods: Risk factors of MSDs with specific reference to dentistry include stress, poor flexibility, improper positioning, infrequent breaks, repetitive movements, weak postural muscles, prolonged awkward postures and improper adjustment of equipment. This article includes MSDs and the signs, symptoms and risk factors and the influence of the ergonomics in prevention of these types of injuries Some authors have found symptoms of discomfort for dental workers occurred in the wrist/hands (69.5%), neck (68.5%), upper back (67.4%), low back (56.8%) and shoulders (60.0%). Results: Major health problems for dental professionals are musculoskeletal pain, especially back pain. Early symptoms of MSDs include pan, swelling, tenderness, numbness and loss of strength. Preventive measures for MSD are proper sitting posture, ergonomic equipment such as chairs, arm rests, workstation layout, dentist micro breaks, magnification systems and others. Conclusion: Ergonomic equipment, regular exercises, relaxation techniques and good scheduling assure high productivity, avoidance of illnesses and injuries and reduce the possible MSDs and increase productivity of dental professionals. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Illuminating the path to ISO 15189 accreditation: a view from the Republic of North Macedonia(Walter de Gruyter GmbH, 2019-10); ; ; ; Kostovska, IrenaIn the Republic of North Macedonia, the work of the diagnostic medical laboratories is regulated by the Law of Health Care. There is an urgent need for better development of an evidence-based, scientific, and sustainable national strategy for the improvement of health laboratory service. Clear indicators of improvement have to be established. A key indicator should be the number of laboratories that have achieved and can maintain accreditation. The Macedonian Society of Medical Biochemistry and Laboratory Medicine (MSMBLM) recommends that the quality system established meets the requirements of the International Standard for medical laboratories (‘Medical laboratories: Requirements for quality and competence [EN ISO 15189:2012]. The accreditation of Macedonian medical laboratories is not mandatory; the decision for accreditation is voluntary. So far, nine medical laboratories have been accredited according the MKS EN ISO 15189:2013. Four of them are public sector laboratories. The small number of accredited laboratories could be the result of the shortage of financial resources, poor government attention to laboratory service, the shortage of qualified personnel and/or the lack of a national laboratory policy. The experiences of laboratory professionals from accredited laboratories, who have a high level of knowledge, skills, and competence, are crucially important to the process of developing a competent laboratory service within the national health system. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, DENTAL AND OCCLUSAL CHARACTERISTICS IN PATIENTS WITH IMPACTED MAXILLARY CANINES(Institute of Knowledge Management, 2024) ;Jeta Bedzeti ;Cena Dimova; ;Armend RedzepiImpacted teeth, retained are fully formed teeth, but with delayed eruption time on their own or elsewhere in the dental arch or outside of it, based on clinical and radiographic assessment. Objective: To determine the dental and occlusal characteristics in patients with impaction of the maxillary canines. Materials and methods: Orthodontic study models from 60 male and female subjects aged 11 to 18 years with unilateral and bilateral impaction of maxillary canines were used. The control group for gnathometric analysis consisted of 60 subjects with normally erupted maxillary canines of the same age. The following parameters were measured on the models of the subjects and the control group: Palatal index (palate depth), Overjet (oj), Overbite (ob), and Dent-alveolar intermaxillary relationship based on incisal classification: I incisal, II/I, II/II, and III incisal class. Results: Among the patients in the study group, 36.7% had an impacted maxillary canine 13, and 21.7% had an impacted maxillary canine 23. Bilateral impaction of maxillary canines 13 and 23 was present in 41.7%. Unilateral impaction of maxillary canines was recorded in 58.4% of the study group. A significant association was found between bilateral/unilateral impaction versus the side of buccal/palatal impaction for p<.05 (Pearson Chi-square: 10.8225, p=.001003). No significant association was found between bilateral/unilateral impaction versus gender for p>.05 (Pearson Chi-square: 2.19429, p=.138523). A significant correlation was recorded between genders versus the registration of impacted maxillary canines (Chi-square: 4.1262, p=.0422247). A significant difference was confirmed between the average age of subjects with unilateral and bilateral impaction (Mann-Whitney U Test, p=0.007947). According to the Mann-Whitney U Test, the difference in average values of the palatal index (palate depth) between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.068566). According to the Mann-Whitney U Test, the difference in average values of overjet (oj) or horizontal incisal distance between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.140956). According to the Mann-Whitney U Test, the difference in average values of overbite (ob) or vertical incisal distance between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.719198). No significant correlation was recorded between dentoalveolar intermaxillary relationship based on incisal classification and membership in the two groups for p>.05 (Pearson Chi-square: 8.98978, p=.174154). Conclusion: In relation to the buccal/palatal impaction position, there is a significant association between bilateral/unilateral impaction. There is no significant association between bilateral/unilateral impaction in relation to gender. Female patients are twice as likely to develop impacted maxillary canines compared to male patients. The average age of patients with unilateral impaction is 15.2±2.2 years, while the average age of patients with bilateral impaction is 13.1±1.9 years. There is a significant difference in the mesiodistal dimensions of teeth 16, 13, 21, and 23 between the two groups studied. The total sum of the mesiodistal dimensions of the teeth is greater in patients with impacted maxillary canines. In the IG, the most represented depth of the palate is medium depth (28.0 - 39.9) at 55.0%, followed by shallow depth at 43.3%, and high depth (>=40.0) at 1.7%. There is no significant difference in the depth of the palate between the groups studied. There is no significant difference between the two groups regarding overjet and overbite. The majority of patients with impacted maxillary canines are in Class I incisal, with 36.7%.
